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A pooled analysis of four clinical trials concluded that treatment with onabotulinumtoxinA at doses of 75-260 U administered every 12 weeks for up to five treatment cycles was efficacious, safe, and well tolerated for the prophylaxis of headache in adults with chronic migraine.
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The highest morbidity and mortality consequences of influenza occur in senior citizens. The efficacy of standard flu vaccine varies depending on the outcome that is examined
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SYNOPSIS: People who were randomized to a low-carbohydrate diet lost more weight than those who were randomized to a low-fat diet over a year. They also had greater improvements in risk factors for cardiovascular disease.
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SYNOPSIS: The incidence of colorectal cancer is much less in people > 75 years of age compared with ages 50-74, even in patients with a personal history of colon cancer or adenomatous polyps. Complication rates for colonoscopy are high in the elderly ¡Ý age 75 and in patients with comorbidities. Surveillance colonoscopy may be stopped in the advanced elderly and in comorbid elderly patients.
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SYNOPSIS: A meta-analysis and systematic review found vitamin C supplementation improved endothelial function in patients with diabetes, atherosclerosis, and heart failure.
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A new sodium glucose co-transporter 2 (SGLT2) has been approved by the FDA. Empagliflozin follows canagliflozin (Invokana) and dapagliflozin (Farxiga)as the third entry in this group. These drugs reduce plasma glucose levels by reducing renal absorption of filtered glucose. Empagliflozin is marketed by Boehringer Ingelheim as Jardiance.
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An initiative that included hiring an RN care coordinator to work with patients who needed a higher level of care, or had gaps in care, resulted in significant improvements in preventive care exams, lower costs for hospitalizations, and a decrease in emergency department visits for patients in the program at Jackson Clinic, a multispecialty practice with 136 providers in western Tennessee.
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The answer should restore a little of your faith in humanity. For the most part, healthcare workers call in with legitimate illness.
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After Sentara Healthcare System’s embedded case management program was redesigned, the total cost of care for patients in the program dropped by 17% over a three-year period.
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New opportunities are opening up for case managers in primary care as physician practices, healthcare systems, and health plans recognize the value of care coordination.
